This study examined the relationships among anxiety sensitivity (AS), catastrophizing, somatization and pain in 240 non-clinical children (121 girls; mean age = 12.7 years). Children with pain problems (n = 81; 33.8%) reported greater AS and catastrophizing (ps < .01) relative to children without pain problems. AS but not catastrophizing was significantly associated with current pain. However, both AS and catastrophizing were significantly associated with somatization. AS and catastrophizing represent related but partially distinct cognitive constructs that may be targeted by interventions aimed at alleviating pain and somatization in children.
Clark, D.M. ( 1986). A cognitive approach to panic. Behaviour Research and Therapy, 24, 461-470.
2.
Cox, B.J., Fuentes, K., Borger, S.C., & Taylor, S. ( 2001). Psychopathological correlates of anxiety sensitivity: Evidence from clinical interviews and self-report measures. Journal of Anxiety Disorders, 15, 317-332.
3.
Dixon, K.E., Thorn, B.E., & Ward, L.C. ( 2004). An evaluation of sex differences in psychological and physiological responses to experimentally-induced pain: A path analytic description . Pain, 112, 188-196.
4.
Drahovzal, D.N., Stewart, S.H., & Sullivan, M.J.L. (2006). Tendency to catastrophize somatic sensations: Pain catastrophizing and anxiety sensitivity in predicting headache. Cognitive Behaviour Therapy, 35, 226-235.
5.
Garber, J., Walker, L.S., & Zeman, J. ( 1991). Somatization symptoms in a community sample of children and adolescents: Further validation of the children’s somatization inventory . Psychological Assessment, 3, 588-595.
6.
Garber, J., Zeman, J., & Walker, L.S. ( 1990). Recurrent abdominal pain in children: Psychiatric diagnoses and parental psychopathology. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 648-656.
7.
Gatchel, R.J., Peng, Y.B., Peters, M.L., Fuchs, P.N., & Turk, D.C. ( 2007). The biopsychosocial approach to chronic pain: Scientific advances and future directions. Psychological Bulletin , 133, 581-624.
8.
Landgraf, J.M., Abetz, L., & Ware, J.E. ( 1999). The CHQ: A user’s manual, 2nd printing. HealthAct, 1st printing. Boston, MA: The Health Institute.
9.
Lu, Q., Tsao, J.C.I., Myers, C.D., Kim, S.C., & Zeltzer, L.K. ( 2007). Coping predictors of children’s laboratory-induced pain tolerance, intensity, and unpleasantness. Journal of Pain, 8, 708-717.
10.
Muris, P., & Meesters, C. ( 2004). Children’s somatization symptoms: Correlations with trait anxiety, anxiety sensitivity, and learning experiences. Psychological Reports, 94, 1269-1275.
11.
Muris, P., Vlaeyen, J., & Meesters, C. ( 2001). The relationship between anxiety sensitivity and fear of pain in healthy adolescents. Behaviour Research and Therapy , 39, 1357-1368.
Reiss, S., & McNally, R.J. ( 1985). The expectancy model of fear. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy (pp. 107-121). New York: Academic Press.
Silverman, W.K., Goedhart, A.W., & Barrett, P. ( 2003). The facets of anxiety sensitivity represented in the Childhood Anxiety Sensitivity Index: Confirmatory analyses of factor models from past studies. Journal of Abnormal Psychology, 112, 364-374.
16.
Sullivan, M.J., Thorn, B., Haythornthwaite, J.A., Keefe, F., Martin, M., Bradley, L.A. et al. (2001). Theoretical perspectives on the relation between catastrophizing and pain. Clinical Journal of Pain, 17, 52-64.
17.
Sullivan, M.J., Thorn, B., Rodgers, W., & Ward, L.C. ( 2004). Path model of psychological antecedents to pain experience: Experimental and clinical findings. Clinical Journal of Pain , 20, 164-173.
18.
Tsao, J.C.I., Lu, Q., Kim, S.C., & Zeltzer, L.K. ( 2006). Relationships among anxious symptomatology, anxiety sensitivity and laboratory pain responsivity in children. Cognitive Behaviour Therapy, 35, 207-215.
19.
Tsao, J.C.I., Meldrum, M., Kim, S.C., & Zeltzer, L.K. ( 2007). Anxiety sensitivity and health-related quality of life in children with chronic pain. Journal of Pain, 8, 814-823.
20.
Tsao, J.C.I., Myers, C.D., Craske, M.G., Bursch, B., Kim, S.C., & Zeltzer, L.K. ( 2004). Role of anticipatory anxiety and anxiety sensitivity in children’s and adolescents’ laboratory pain responses. Journal of Pediatric Psychology, 29, 379-388.
21.
Vervoort, T., Craig, K.D., Goubert, L., Dehoorne, J., Joos, R., Matthys, D. et al. (2008). Expressive dimensions of pain catastrophizing: A comparative analysis of school children and children with clinical pain . Pain, 134, 59-68.
22.
Vervoort, T., Goubert, L., Eccleston, C., Bijttebier, P., & Crombez, G. ( 2006). Catastrophic thinking about pain is independently associated with pain severity, disability, and somatic complaints in school children and children with chronic pain. Journal of Pediatric Psychology , 31, 674-683.
23.
Walker, L.S., & Garber, J. ( 2003). Manual for the Children’s Somatization Inventory . Nashville, TN: Vanderbilt University .
24.
Walker, L.S., Garber, J., & Greene, J.W. ( 1991). Somatization symptoms in pediatric abdominal pain patients: Relation to chronicity of abdominal pain and parent somatization . Journal of Abnormal Child Psychology, 19, 379-394.
25.
Wang, S.J., Juang, K.D., Fuh, J.L., & Lu, S.R. ( 2007). Psychiatric comorbidity and suicide risk in adolescents with chronic daily headache. Neurology, 68, 1468-1473.
26.
Weems, C.F., Hammond-Laurence, K., Silverman, W.K., & Ginsburg, G.S. (1998). Testing the utility of the anxiety sensitivity construct in children and adolescents referred for anxiety disorders. Journal of Clinical Child Psychology , 27, 69-77.
